0001415889-25-014310.txt : 20250522 0001415889-25-014310.hdr.sgml : 20250522 20250522200030 ACCESSION NUMBER: 0001415889-25-014310 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20250520 FILED AS OF DATE: 20250522 DATE AS OF CHANGE: 20250522 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Leonsis Theodore CENTRAL INDEX KEY: 0001452645 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-42130 FILM NUMBER: 25978882 MAIL ADDRESS: STREET 1: WASHINGTON CAPITALS STREET 2: 627 N GLEBE RD SUITE 850 CITY: ARLINGTON STATE: VA ZIP: 22203 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Tempus AI, Inc. CENTRAL INDEX KEY: 0001717115 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] ORGANIZATION NAME: 06 Technology EIN: 474903308 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 600 WEST CHICAGO AVENUE STREET 2: SUITE 510 CITY: CHICAGO STATE: IL ZIP: 60654 BUSINESS PHONE: 800-976-5448 MAIL ADDRESS: STREET 1: 600 WEST CHICAGO AVENUE STREET 2: SUITE 510 CITY: CHICAGO STATE: IL ZIP: 60654 FORMER COMPANY: FORMER CONFORMED NAME: Tempus Labs, Inc. DATE OF NAME CHANGE: 20170915 4 1 form4-05222025_080526.xml X0508 4 2025-05-20 0001717115 Tempus AI, Inc. TEM 0001452645 Leonsis Theodore C/O TEMPUS AI, INC. 600 WEST CHICAGO AVENUE, SUITE 510 CHICAGO IL 60654 true false false false 0 Class A Comnmon Stock 2025-05-20 4 A 0 1997 0 A 15511 D Class A Common Stock 122140 I By Theodore J. Leonsis Revocable Trust Class A Common Stock 43550 I By Revolution Growth III, LP Class A Common Stock 205847 I By Revolution Growth Management Company, Inc. Class A Common Stock 6115 I By Revolution Growth GP III, LP Represents a restricted stock unit ("RSU") award. The RSUs will vest in full on the earlier of (i) the date of the Issuer's 2026 annual meeting of the stockholders (or the date immediately prior to such annual meeting if the Reporting Person's service as a director ends at such annual meeting) or (ii) on May 20, 2026, each subject to the Reporting Person's continuous service with the Issuer as of the applicable vesting date. The Reporting Person is a member of the investment committee of the ultimate general partner of Revolution Growth GP III, LP ("RG GP III") and Revolution Growth III, LP ("RG III") and a member of the board of directors of Revolution Growth Management Company, Inc. ("RGMC") and may be deemed to share dispositive power over the shares held by RG GP III, RG III and RGMC. /s/ Andrew Polovin, Attorney-in-Fact 2025-05-22